Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
  • A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
  • A61B1/0661—Endoscope light sources
  • A61B1/0684—Endoscope light sources using light emitting diodes [LED]
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
  • A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
  • A61B1/07—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
  • A61B1/267—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the respiratory tract, e.g. laryngoscopes, bronchoscopes
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
  • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure

Definitions

• the present invention relates to a lighting apparatus and, particularly, but not exclusively, to medical applications such as a light source for a hand held laryngoscope .
• a laryngoscope is a device used to examine the larynx and its surrounding structures.
• a laryngoscope generally comprises a handle and a detachable blade.
• a source of illumination is positioned to direct light along the laryngoscope blade to illuminate the anatomical structures being viewed.
• the blade of the laryngoscope is inserted via the mouth into the pharynx and the light enables an inspection of the larynx and associated structures.
• Laryngoscopes are used for examining and diagnosing diseases of the mouth, pharynx and larynx including the vocal chords .
• Laryngoscopes are most commonly used for the purpose of inserting a tube through the glottis (intubating) .
• a tube is passed via the mouth, through the larynx and into the trachea to maintain airway patency (endotracheal intubation) and permit administration of oxygen and inhalation anaesthetic.
• Laryngoscopes facilitate intubation by elevating the soft pallet, depressing the epiglottis and illuminating the larynx.
• Laryngoscopes are used both in veterinary and human medicine. There are many different types of laryngoscope, and, particularly, many different shapes of laryngoscope blades.
• a laryngoscope light source is conventionally powered by batteries usually mounted in the laryngoscope handle.
• the light source comprises a conventional incandescent bulb mounted about two thirds of the way down the laryngoscope blade with wiring tracking back to a mechanical contact at the proximal end of the blade. Installing wiring and connections in handles is difficult, time consuming and therefore costly.
• the blade contact makes a mechanical and electrical connection to a contact in the top of the handle (handle contact) when the blade is fitted to the handle and locked in its operational position.
• the handle contact is electrically connected to the power supply (usually conventional or rechargeable batteries) .
• the light source is arranged to be switched on when the blade is fitted to the handle and “locked” in its operational position and the mechanical and the electrical connection is mechanically actuated.
• An alternative light source arrangement incorporates an optical fibre bundle running along the blade but still uses a conventional incandescent filament bulb mounted in the handle.
• the bulb transmits light to the optical fibre bundle to illuminate the tip of the laryngoscope blade.
• An electrical connection is mechanically activated between the blade and handle, and switches the bulb. In this alternative, it can be difficult to obtain access to the bulb in the handle to change the bulb.
• the incandescent light bulb is not sealed, the switch is not sealed and there are therefore difficulties in sterilising either the blade or the handle or otherwise exposing the handle to fluid as it can affect the light source and electrical circuit powering the light source.
• the present invention provides a light source apparatus for a hand held medical apparatus, including a light source, an electrical circuit for providing power to the light source, and a remotely operable switch for switching power to the light source.
• the light apparatus is arranged to fit within a laryngoscope handle.
• the remotely operable switch is magnetically activated, such as a reed switch, for example.
• the magnetically activated switch is operated by a magnet mounted in a proximal part of a laryngoscope blade, so that when the laryngoscope blade is connected to the handle and locked in position, the magnetically activated switch is closed and power is provided to the light source.
• the light source is a low power light emitting diode (LED) which provides cold light and has a long operational life compared to an incandescent bulb.
• LED light emitting diode
• the light source may be electronically current or voltage driven for constant spectral output and intensity.
• the light apparatus is arranged to co-operate with an optical fibre bundle mounted in a laryngoscope blade, so that light is transmitted from the light source to the optical fibre bundle.
• the light source, switch and electrical circuit are mounted together in a sealed mounting.
• the entire sealed mounting assembly is arranged to fit into the handle of a laryngoscope .
• the electrical circuit includes electrical contacts arranged for connection to a power source.
• the arrangement has the advantage that the light source lasts a long time (LEDs have a relatively long lifetime) and, because the majority of parts of the arrangement are sealed, the arrangement is resistant to damage from the environment .
• the entire assembly fits within a laryngoscope handle. The assembly can therefore be removed if it fails and replaced with a replacement assembly.
• the entire sealed "assembly" can be manufactured relatively inexpensively.
• the present invention provides a laryngoscope handle mounting a light apparatus in accordance with the first aspect of the present invention.
• the laryngoscope blade or handle or both may be disposable.
• the present invention provides a laryngoscope mounting a light apparatus in accordance with the first aspect of the present invention.
• the laryngoscope may be a disposable laryngoscope.
• a light apparatus in accordance with the first aspect of the present invention may be utilised to retrofit an existing laryngoscope which was originally designed for a different type of light source.
• the present invention provides a method of retrofitting an existing laryngoscope, by mounting a light apparatus in accordance with the first aspect of the invention within the handle of the existing laryngoscope.
• the present invention provides a light apparatus for a laryngoscope, including a light source, an electrical circuit for providing power to light source, and a switch for switching power to the light source, the light source, electrical circuit and switch being mounted within a sealed mounting, forming a sealed assembly.
• the sealed mounting comprises plastics arranged to "pot" the light source, electrical circuit and switch. This has the advantage that these light apparatus components are sealed from the environment .
• the present invention provides a laryngoscope including a light source, the light source being arranged to be activated by magnetic, or electromagnetic means.
• the light source is activated by a magnetically operated reed switch.
• the switch is embedded within the device and no parts of the switch protrude from the laryngoscope body. The absence of switching components protruding from the laryngoscope body improves ease of sterilisation of the laryngoscope body and reduces opportunity for bacteria to become harboured in cracks or crevices in the laryngoscope body.
• Figure 1 is a diagram illustrating components of a light source apparatus in accordance with an embodiment of the present invention
• Figure 2 is a diagram showing the components of Figure 1 mounted within a sealed mounting
• Figure 3 shows a top view of a laryngoscope blade
• Figure 4 is a cross sectional view of the blade of figure 3 along the line X-X;
• Figure 5 is a perspective exploded view of a laryngoscope handle and blade
• Figure 6 is a detail view of the handle and blade of figure 5;
• Figure 7 is a circuit diagram of a light source apparatus in accordance with a further embodiment of the present invention; and
• Figure 8 is a diagram showing components of a light source apparatus in accordance with an embodiment of the present invention mounted within a handle of a laryngoscope .
• a light source apparatus in accordance with an embodiment of the present invention comprises an electrical circuit generally designated by reference numeral 1, and in this example being in the form of tracks 2 and contacts 3, 4 mounted on a printed circuit (PCB) 5. It also includes a light source 6, in this example being a light emitting diode (LED) 6. A remotely operable switch, in this example being a magnetically operable reed switch 8, is also included.
• PCB printed circuit
• a resistor 7 is included in the electrical circuit.
• the PCB 5 illustrated in Figure 1 is mounted within a sealed mounting, in this embodiment being a resin potted cylinder 9 that permits passage of light from the LED.
• the potted polyester cylinder 9 seals the components from the environment.
• the LED 6 is ground down (6A) so that its top surface is flush with the top surface 10 of the potted cylinder 9.
• the potted cylinder 9 is seated within a cylindrical metal body 11 (in this embodiment the metal is brass) .
• the body 11 includes a thread 12 and the body 11 is arranged to fit into a laryngoscope handle.
• the threads 12 engage with corresponding threads on the inner surface of the laryngoscope handle.
• a case terminal screw 13 makes contact with the electrical contact 3 and a nipple terminal screw 14 makes contact with the electrical contact 4.
• a nylon insulator 15 seals the base of the metal body 11.
• the entire assembly fits within a laryngoscope handle and the LED 6 communicates with an optical fibre in the handle which communicates with an optical fibre extending in a laryngoscope blade.
• the co-operating blade incorporates a magnet in its proximal end, such that when the blade is fitted to the handle, the reed switch 8 is operated and power is provided to the LED 6. Batteries seated in the lower half of the handle provide the power source .
• a laryngoscope blade 20 which includes a permanent magnet 22 housed in mounting block 23.
• An optical fibre bundle 24 in use guides light from LED 6 to be emitted towards the end of blade 20.
• the blade also includes soft palate guard 26.
• Handle 30 includes a rod 32 to which handle can be rotatably mounted by a snap fit of rod 32 into channel 29.
• blade can be rotated about rod 32 to extend the blade to an operational position. This brings magnet 22 into close proximity with reed switch 8 to active the reed switch. This causes illumination of LED 6.
• the light from LED 6 is guided into fibre optic bundle 24.
• the sealed assembly may be utilised in any laryngoscope.
• the assembly is suitable for disposable laryngoscopes, as the assembly is relatively inexpensive.
• existing laryngoscopes may be retrofitted by adapting existing laryngoscope handles to receive the assembly and modifying blades to incorporate a magnet to activate the switch.
• the assembly may also be used with laryngoscopes arranged for multiple use.
• the assembly may easily be replaced if the light source apparatus fails.
• the assembly is sealed, it is substantially protected from the environment .
• the remotely operable switch is a reed switch. Any other type of remotely operable switch may be used and the present invention is not limited to use of a reed switch.
• Figure 7 shows a circuit diagram for a further embodiment of the light source apparatus in accordance with the present invention. This circuit also includes a magnetically operable reed switch 8 and an LED 6. A power source (the battery in the laryngoscope handle) is designated by reference numeral 50. A diagram of a magnet 51 is shown to illustrate operation of the reed switch 8. In the described embodiment, magnet 51 corresponds to magnet 22 in the laryngoscope blade. In this embodiment, the circuit also includes a current or voltage driver 52 for providing constant spectral output and intensity of the LED 6.
• FIG 8 is a diagram of a top part of a laryngoscope handle showing one way in which a light source assembly in accordance with an embodiment of the invention may be mounted within the laryngoscope handle .
• a delrin insert 60 is mounted proximate an opening 61 in the brass laryngoscope head 62.
• a PCB 63 mounting the components of the light source apparatus is mounted within the opening 61.
• Brass tube 64 surrounds the opening.
• a bolt 65 secures the light source apparatus.
• the LED 66 is mounted within the opening and a clear polyester resin 67 fills the opening, allowing 1 mm approximately of LED to be exposed.
• the opening 61 is therefore sealed off and the componentry within the opening is sealed from the environment .
• the light source apparatus of the present invention is suitable for use in devices other than laryngoscopes including hand held torches, medical auroscopes, ophthmascopes, vaginascopes and transilluminators .

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• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Surgery (AREA)
• Engineering & Computer Science (AREA)
• Optics & Photonics (AREA)
• Physics & Mathematics (AREA)
• General Health & Medical Sciences (AREA)
• Heart & Thoracic Surgery (AREA)
• Medical Informatics (AREA)
• Molecular Biology (AREA)
• Animal Behavior & Ethology (AREA)
• Pathology (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• Biomedical Technology (AREA)
• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
• Radiology & Medical Imaging (AREA)
• Biophysics (AREA)
• Microelectronics & Electronic Packaging (AREA)
• Otolaryngology (AREA)
• Physiology (AREA)
• Pulmonology (AREA)
• Oral & Maxillofacial Surgery (AREA)
• Endoscopes (AREA)

Applications Claiming Priority (2)

Publications (3)

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Family Applications (1)

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• 2007
  • 2007-04-27 US US12/298,748 patent/US20090187078A1/en not_active Abandoned
  • 2007-04-27 WO PCT/AU2007/000539 patent/WO2007124536A1/en active Application Filing
  • 2007-04-27 EP EP07718786.2A patent/EP2010040B1/de active Active
  • 2007-04-27 AU AU2007246162A patent/AU2007246162B2/en active Active
• 2016
  • 2016-04-28 US US15/141,651 patent/US20160317005A1/en not_active Abandoned

Patent Citations (2)

Non-Patent Citations (1)

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